ID

Question 1

Glandular fever complication

Answer 1

splenic rupture

Question 2

Subacute sclerosing panencephalitis complication of

Answer 2

measles

Question 3

pneumonia with longer course, worsening flu-like symptoms and a dry cough. Erythema multiforme, abdo pain

Answer 3

mycoplasma

Question 4

Post-exposure prophylaxis for HIV

Answer 4

oral antiretroviral therapy for 4 weeks

Question 5

which gastroenteritis bug causes malabsorption and prolonged diarrhoea

Answer 5

giardia

Question 6

virus that can cause pancytopenia in some predisposing haematological conditions such as sickle cell

Answer 6

parvovirus B19

Question 7

gastroenteritis with short incubation period of 30 minutes to 8 hours and profuse vomiting

Answer 7

staph aureus

Question 8

gastroenteritis with a flu-like prodrome, usually followed by crampy abdominal pains, fever and diarrhoea which may be bloody
May mimic appendicitis

Answer 8

campylobacter

Question 9

causes of bloody diarrhoea in gastroenteritis

Answer 9

shigella
campylobacter
e coli?

Question 10

Rx given (as well as abx) to improve outcomes in bacterial meningitis (prevent neuro sequelae)

Answer 10

dex

Question 11

What is Jarisch-Herxheimer reaction

Answer 11

Seen in syphilis and lyme disease

Fever, rash, tachycardia after first dose of antibiotic

Question 12

Later features of Lyme disease

Answer 12

heart block
peri/myocarditis

facial nerve palsy
radicular pain
meningitis

Question 13

90% genital warts are caused by HPV which numbers

Answer 13

HPV 6 & 11

Question 14

Which HPV predisposes to cervical cancer

Answer 14

16,18 & 33

Question 15

First line ix for lyme disease in absence of rash

Answer 15

ELISA for Borrelia burgdorferi

Question 16

most common cause of travellers diarrhoea

Answer 16

e coli

Question 17

Pregnancy and lyme disease rx

Answer 17

doxy is c/i so amoxicillin

Question 18

do immunocompetent patients need rx for toxoplasmosis

Answer 18

no

Question 19

What causes kaposi’s sarcoma

Answer 19

HHV-8 in people with HIV commonly

Question 20

how does kaposi’s sarcoma present

Answer 20

purple papules or plaques on the skin or mucosa (e.g. gastrointestinal and respiratory tract)

Lung involvement can = massive haemoptysis

Question 21

Uncertain tetanus status + risky wound should get

Answer 21

booster vaccine + immunoglobulin, unless the wound is very minor and < 6 hours old

Question 22

chlamydia rx

Answer 22

oral doxy

Question 23

BV is an overgrowth of what

Answer 23

Gardnerella

Question 24

antimalarial avoided in hx depression

Answer 24

Mefloquine

Question 25

antimalarial taken weekly

Answer 25

Mefloquine

Question 26

Gas gangrene causing organism

Answer 26

clostridium perfringens

Question 27

If campylobacter needs rx what abx to give?

Answer 27

clarithromycin

Question 28

How many doses of tetanus life long for full course?

Answer 28

5

Question 29

Exposure to hep b management eg needle stick?

Answer 29

accelerated course of the hepatitis B vaccine + hepatitis B immune globulin if unvaxed/non responder

If vaxed and responder- just booster dose

Question 30

Hep C needlestick mx

Answer 30

monthly PCR - if seroconversion then interferon +/- ribavirin

Question 31

Flu like sx and subconjuctival haemorrhage
reduced urine output/AKI
In a farmer/vet/abbatoir worker/traveller (rat urine)

Answer 31

Leptospirosis

Question 32

Is childs nasal spray flu vaccine live or no

Answer 32

live